Heartland Summer Attendee Registration

Attendee Registration

Welcome to Heartland Summer! Complete the registration form below for access to all Heartland Summer digital events. We are asking all attendees to register individually. Please share the registration link with your staff and encourage them to sign up.
Your Name *
Your Email *
example@example.com
Your Bookstore *
If you are not a bookseller, please list your company name or bookselling affiliation.
Bookstore Location *

Street Address

Street Address Line 2

City State
Location
What is your regional membership(s)? *

MIBA GLIBA NEIBA NAIBA SIBA MPIBA CALIBA PNBA Not a member
What option(s) best describes your role? *

Owner Bookseller Buyer Manager Event Coordinator Marketing
Will this be the first time someone from your store has participated in Heartland programming? *

Yes No I don't know
Is your store celebrating a milestone this year? (5, 10, 15 years in business, etc.)

Yes No I don't know
What milestone is your store celebrating?
Number of years in business
Will this be your first time participating in Heartland programming? *

Yes No
Are you celebrating a bookselling milestone this year? (5, 10, 15 years as a bookseller, etc.)

Yes No
What milestone are you celebrating?
Number of years as a bookseller
Should be Empty: